Worries about the affordability of health care and decisions about having additional children aren’t new — they’re simply being experienced by a broader range of people than usual right now. One Planned Parenthood staffer who was interviewed by National Public Radio said it was “a very different decision today than it was a year ago to expand your family and to have a child.” For many low-income families, however, economic instability, limited access to health care, and concerns about reproductive and family choices are sadly familiar.